True Sport USA, LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC Issued in AZ

Legal business name

TRUE SPORT USA, LLC

Practice address

4221 E Chandler Blvd
#115
Phoenix, AZ 85048-8874

Phone

(480) 415-6407

NPI assigned

Apr 14, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason Kolber, D.C.

Title

Owner/Chiropractor

Phone

(480) 415-6407

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1023462249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1176",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920077176",
            "telephone_number": "858-509-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 E CHANDLER BLVD",
            "address_2": "#115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488874",
            "telephone_number": "480-415-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE SPORT USA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "KOLBER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "480-415-6407",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "AZ",
            "license": "DC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Physician Chiropractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Sports Physician Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.